Individual
MR. VICTOR CHARLES WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
716 E EDISON AVE, SUNNYSIDE, WA 98944-2204
(509) 837-4455
(509) 837-6299
Mailing address
716 E EDISON AVE, SUNNYSIDE, WA 98944-2204
(509) 837-4455
(509) 837-6299
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7682248
—
WA
Enumeration date
03/08/2006
Last updated
05/28/2009
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